| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,215 |
1,788 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,686 |
2,121 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
936 |
803 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
721 |
640 |
$62K |
| 90461 |
|
1,187 |
996 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
306 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
203 |
183 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,116 |
1,807 |
$14K |
| 92551 |
|
989 |
872 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
359 |
312 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
24 |
$2K |
| 99382 |
|
13 |
12 |
$1K |
| 96161 |
|
573 |
495 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| 90480 |
|
34 |
33 |
$1K |
| 0071A |
|
43 |
28 |
$913.96 |
| 94760 |
|
477 |
393 |
$878.47 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
18 |
$821.08 |
| 96127 |
|
232 |
123 |
$701.34 |
| 0072A |
|
26 |
17 |
$550.00 |
| 96160 |
|
151 |
126 |
$342.29 |
| 99177 |
|
110 |
81 |
$194.84 |
| 90686 |
|
1,521 |
1,319 |
$88.53 |
| 90671 |
|
29 |
27 |
$0.08 |
| 91321 |
|
30 |
29 |
$0.01 |
| 90670 |
|
622 |
550 |
$0.00 |
| 99173 |
|
257 |
221 |
$0.00 |
| 90648 |
|
250 |
200 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90633 |
|
71 |
68 |
$0.00 |
| 90680 |
|
206 |
185 |
$0.00 |
| 90647 |
|
183 |
177 |
$0.00 |
| 3008F |
|
226 |
180 |
$0.00 |
| 90723 |
|
427 |
381 |
$0.00 |
| 90656 |
|
127 |
116 |
$0.00 |
| 91307 |
|
64 |
41 |
$0.00 |